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Individual

COLBY SUTTLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 354-5770
(706) 354-5769
Mailing address
PO BOX 5719, ATHENS, GA 30604-5719
(706) 354-5770
(706) 354-5769

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2127
GA
363A00000X
Physician Assistant
6003
GA

Other

Enumeration date
11/05/2010
Last updated
12/06/2010
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